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EXAM
Which of the following is a type of perturbation that can be measured to
determine the amount of noise in the voice?
A. Changes in the frequency range between F1 and F2 over time
B. Changes in the frequency range between F2 and F3 over time
C. F3 cycle-to-cycle variations in sound energy over time
D. F0 cycle-to-cycle variations in sound energy over time ---------CORRECT
ANSWER-----------------Correct Answer: D
Option (D) is correct. Perturbation is a disturbance in the quality of
the laryngeal tone, or fundamental frequency, of the voice.
Which of the following describes an important diagnostic distinction
between apraxia of speech and dysarthria?
A. Apraxia of speech is a result of lower motor neuron lesions, whereas
dysarthria is the result of upper motor neuron lesions.
B. Clients with apraxia of speech lack the ability to monitor reactive speech,
whereas clients with dysarthria lack the ability to sequence volitional
speech movements.
C. Strength and coordination of the speech musculature are intact in clients
with apraxia of speech, whereas slowness, weakness, incoordination, or
altered tone of the speech musculature are associated with dysarthria.
D. Apraxia of speech is characterized by distortions, omissions, and
substitutions, whereas dysarthria is characterized by inconsistent, highly
variable misarticulations. ---------CORRECT ANSWER-----------------Correct
Answer: C
Option (C) is correct. Dysarthria is a motor speech disorder
characterized by slowness, weakness, incoordination, or altered tone
of the speech production mechanism. The definition of apraxia
includes the absence of any deficits in strength, tone, or coordination
and rather is characterized by deficits in motor planning and/or
programming of speech.
,Naturalistic teaching chiefly involves which of the following?
A. Establishing successful and useful communication
B. Using multiple trials and training techniques
C. Using more adult-initiated interactions than child-initiated interactions
D. Using differential reinforcement, fading, and modeling ---------CORRECT
ANSWER-----------------Correct Answer: A
Option (A) is correct. Naturalistic teaching focuses on the successful
production of utterances that are useful in context for
communicating.
Ms. Helene, a 60-year-old woman with a suspected neurological disorder,
is referred for speech-language evaluation. She achieves a score of 35/50
on a measure of confrontation object-naming ability. This score is below
norms established for individuals of her age and educational level. Based
on these results alone, which of the following statements can most reliably
be made about Ms. Helene's disorder?
A. She has anomic aphasia, which might or might not be associated with
other language deficits.
B. She has aphasia, but the type of aphasia cannot be specified on the
basis of this test score alone.
C. She does not have aphasia but probably does have a memory
disturbance.
D. She has difficulty with naming, but the precise nature of the deficit
cannot be determined on the basis of this test score alone. ---------
CORRECT ANSWER-----------------Correct Answer: D
Option (D) is correct. Ms. Helene has a suspected neurological
disorder and she achieves a score that is below the norms for
individuals her age. Given this information alone, the most that can be
said is that she has difficulty with naming; the precise nature of her
deficit cannot be determined.
A 67-year-old male patient with no history of swallowing problems has
undergone a cardiothoracic surgical procedure. Postoperatively, he is
,found to be aspirating while swallowing and is diagnosed with a left vocal-
fold paralysis and left pharyngeal paresis. Which of the following is the
most likely etiology?
A. An intraoperative CVA in the right pons
B. Damage to the right recurrent laryngeal nerve
C. Damage to the left recurrent laryngeal nerve
D. A left hemispheric stroke ---------CORRECT ANSWER-----------------
Correct Answer: C
Option (C) is correct. The left recurrent laryngeal nerve courses under
the aortic arch in its course back to innervate the left larynx and the
inferior pharynx. The nerve can be damaged in cardiothoracic
operations including aortic arch or valve repairs. Only the left (and
not the right) recurrent laryngeal nerve has this course.
A team of SLPs is evaluating whether a new language intervention is
suitable for use with children who are on their caseload. The clinicians read
an article documenting research on the effect of a novel treatment on the
language performance of 30 children with specific language impairment.
The researchers administered a standardized language test to the children
before and after the treatment program. The children's posttreatment
scores on the test were significantly higher than their pretreatment scores.
This led the researchers to conclude that the treatment was highly
effective.
Based on the preceding description, which of the following appears to be a
significant limitation of the design of the study?
Select all that apply.
A. The use of a single-group pretest-posttest design
B. The absence of a control group
C. The inability to rule out the possibility that the children's language scores
improved for reasons oth ---------CORRECT ANSWER-----------------Correct
Answer: A,B,C
Options (A), (B), and (C) are correct. The use of a single-group
pretest-posttest design is a limitation because there is inadequate
control of internal and external validity without a control group. The
absence of a control group is a limitation because control groups are
a way of introducing control and can better isolate the effect of the
treatment. Furthermore, since it is a longitudinal study, improvement
based on language development cannot be ruled out.
, Which of the following muscles produces the opposing action to those that
produce velopharyngeal closure?
A. Musculus uvulae
B. Levator veli palatini
C. Palatoglossus
D. Stylopharyngeus ---------CORRECT ANSWER-----------------Correct
Answer: C
Option (C) is correct. Velopharyngeal closure is largely produced by
soft palate elevation, and the only muscle in the list that produces
soft palate depression (the opposite of soft palate elevation) is the
palatoglossus.
Michael is a 32-month-old boy who has been receiving early intervention
services over the past ten months for delayed speech and expressive-
language development. Although his birth was reportedly unremarkable,
Michael does have a history of recurrent otitis media with effusion. His
parents described him as having been a "well-behaved and quiet baby."
When Michael began receiving services, he communicated mainly through
gestures and crude vocalizations. An open resting mouth position with
slight tongue protrusion was sometimes noted. However, his receptive-
language skills were found to be age appropriate and he showed no oral
motor deficits during feeding. Michael's expressive-language skills have
shown some progress since he began working with the speech-language
pathologist, but he remains poorly intelligible. Michael's imitation of tongue,
lip, and jaw movements is characterized by inconsistent groping and errors
o ---------CORRECT ANSWER-----------------Correct Answer: D
Option (D) is correct. Michael's history of recurrent middle ear
infections, an otolarygologist would be able to clinically manage otitis
media and make provisions to obtain an audiological assessment.
Michael is a 32-month-old boy who has been receiving early intervention
services over the past ten months for delayed speech and expressive-
language development. Although his birth was reportedly unremarkable,